| NPI | 1962130369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NY 002149) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: NJ 25MM00003700) |
| 174N00000X Lactation Consultant, Non-RN (Licence: L-308270) | |
| Enumeration Date | 2022-08-12 |
| Last Update Date | 2026-06-22 |